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MR. SAMUEL AGYENIM BOATENG CNP
NPI 1033740824
Nurse Practitioner - Family in Reynoldsburg, OH

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment
HOLY HILLS HEALTHCARE SERVICES, LLC, 6760 TUSSING ROAD SUITE 104, REYNOLDSBURG, OH 43068(614) 626-6000(614) 577-0807 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Samuel Agyenim Boateng Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL AGYENIM BOATENG CNP (NPI 1033740824) is an individual family provider in Reynoldsburg, Ohio, licensed in Ohio (APRN.CNP.025942) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033740824
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMUEL AGYENIM BOATENGCredential: CNP
Location AddressHOLY HILLS HEALTHCARE SERVICES, LLC, 6760 TUSSING ROAD SUITE 104Reynoldsburg, OH 43068-4136
Mailing Address144 Brandywine Dr Apt BWesterville, OH 43081-1379 · (614) 806-8865
Phone(614) 626-6000
Fax(614) 577-0807
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 30, 2020
✔ NPI 1033740824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.025942
HOLY HILLS HEALTHCARE SERVICES, LLC, Reynoldsburg, OH 43068
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Samuel Agyenim Boateng Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799114708
PECOS Enrollment IDI20200326001071
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Boateng reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Living Hope Primary Health Care,llc
9.9 mi
Clinic/Center
270 S GRANT AVE
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1679179980 (614) 806-8865
Northstar Family Practice Inc
12 mi
Family Medicine
5910 CLEVELAND AVENUE
Columbus, OH 43231
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1598882904 (614) 888-2450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services16 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
26 services15 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
11 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Boateng's NPI number?

The NPI number for Samuel Boateng is 1033740824. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Samuel Boateng located?

Samuel Boateng practices at Holy Hills Healthcare Services, LLC 6760 Tussing Road Suite 104, Reynoldsburg, OH 43068. The listed phone number is (614) 626-6000.

What is Samuel Boateng's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Boateng enrolled in Medicare?

Yes. Samuel Boateng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Boateng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Boateng reassigns Medicare benefits to 2 organizations: Living Hope Primary Health Care,llc (Columbus, OH) and Northstar Family Practice Inc (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Boateng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Boateng accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Samuel Boateng as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Boateng affiliated with any hospitals?

According to CMS data, Samuel Boateng is affiliated with Grant Medical Center and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Samuel Boateng was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.